Disparities in the management of cutaneous malignant melanoma. A population-based high-resolution study

Marcela Guevara, Miguel Rodríguez-Barranco, Montse Puigdemont, Pamela Minicozzi, Ignacio Yanguas-Bayona, Miguel Porras-Povedano, Jordi Rubió-Casadevall, María José Sánchez Pérez, Rafael Marcos-Gragera, Eva Ardanaz

Research output: Contribution to journalArticle

Abstract

Population-based cancer registry data from three Spanish areas were used to assess the patterns of care and adherence to guidelines for cutaneous malignant melanoma. We included 934 cases diagnosed in 2009–2013. Completeness of the pathology reports, imaging for detecting distant metastasis and the use of sentinel lymph node biopsy (SLNB) were analysed. The proportion of pathology reports that mentioned the essential pathological features required for T staging was 93%, ranging across geographic areas from 81% to 98% (p < 0.001). The percentage of low-risk patients who underwent no imaging studies, as proposed by guidelines, or only chest imaging ranged among areas from 0.6% to 84% (p < 0.001). Of the patients with clinically node-negative melanoma >1 mm thick and no distant metastases, 68% underwent SLNB, varying by area from 61% to 78% (p = 0.017). This study revealed wide geographic variation in different aspects of melanoma care. The use of a standardised structured pathology report could strengthen the completeness of reporting. Improvement strategies should also include efforts to reduce overuse of imaging in low-risk patients and to increase the adherence to guidelines recommendations on the use of SLNB.

Original languageEnglish
Article numbere13043
JournalEuropean Journal of Cancer Care
Volume28
Issue number4
DOIs
Publication statusPublished - Jul 2019

Fingerprint

Sentinel Lymph Node Biopsy
Guideline Adherence
Pathology
Population
Neoplasm Metastasis
Registries
Melanoma
Cutaneous Malignant Melanoma
Neoplasms

Keywords

  • cancer care
  • clinical practice guidelines
  • cutaneous melanoma
  • geographic variation
  • guideline-adherence
  • healthcare disparities
  • imaging
  • pathology reporting
  • population-based cancer registries
  • sentinel lymph node biopsy

ASJC Scopus subject areas

  • Oncology

Cite this

Guevara, M., Rodríguez-Barranco, M., Puigdemont, M., Minicozzi, P., Yanguas-Bayona, I., Porras-Povedano, M., ... Ardanaz, E. (2019). Disparities in the management of cutaneous malignant melanoma. A population-based high-resolution study. European Journal of Cancer Care, 28(4), [e13043]. https://doi.org/10.1111/ecc.13043

Disparities in the management of cutaneous malignant melanoma. A population-based high-resolution study. / Guevara, Marcela; Rodríguez-Barranco, Miguel; Puigdemont, Montse; Minicozzi, Pamela; Yanguas-Bayona, Ignacio; Porras-Povedano, Miguel; Rubió-Casadevall, Jordi; Sánchez Pérez, María José; Marcos-Gragera, Rafael; Ardanaz, Eva.

In: European Journal of Cancer Care, Vol. 28, No. 4, e13043, 07.2019.

Research output: Contribution to journalArticle

Guevara, M, Rodríguez-Barranco, M, Puigdemont, M, Minicozzi, P, Yanguas-Bayona, I, Porras-Povedano, M, Rubió-Casadevall, J, Sánchez Pérez, MJ, Marcos-Gragera, R & Ardanaz, E 2019, 'Disparities in the management of cutaneous malignant melanoma. A population-based high-resolution study', European Journal of Cancer Care, vol. 28, no. 4, e13043. https://doi.org/10.1111/ecc.13043
Guevara M, Rodríguez-Barranco M, Puigdemont M, Minicozzi P, Yanguas-Bayona I, Porras-Povedano M et al. Disparities in the management of cutaneous malignant melanoma. A population-based high-resolution study. European Journal of Cancer Care. 2019 Jul;28(4). e13043. https://doi.org/10.1111/ecc.13043
Guevara, Marcela ; Rodríguez-Barranco, Miguel ; Puigdemont, Montse ; Minicozzi, Pamela ; Yanguas-Bayona, Ignacio ; Porras-Povedano, Miguel ; Rubió-Casadevall, Jordi ; Sánchez Pérez, María José ; Marcos-Gragera, Rafael ; Ardanaz, Eva. / Disparities in the management of cutaneous malignant melanoma. A population-based high-resolution study. In: European Journal of Cancer Care. 2019 ; Vol. 28, No. 4.
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